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NPI 1750452231

NPI 1750452231 : KRISTEN LYNN BALL D.C. : NORWAY, MI

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General NPI Number Information
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    NPI Number           |    1750452231
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTEN LYNN BALL D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/13/2006
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    Last Update Date     |    10/10/2007
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Provider Practice Location Address
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    Address Line         |    400 MAIN ST 
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    City                 |    NORWAY
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    State                |    MI
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    Zip                  |    49870-1270
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    Country              |    US
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    Telephone            |    906-563-5400
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    Fax                  |    906-563-5404
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Provider Business Mailing Address
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    Address Line         |    400 MAIN ST 
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    City                 |    NORWAY
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    State                |    MI
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    Zip                  |    49870-1270
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    Country              |    US
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    Telephone            |    906-563-5400
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    Fax                  |    906-563-5404
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    2301009269
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    IL
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